| Regimental number | 14677 |
| Place of birth | Warrnambool Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Belmont via Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Brother, W O'Brien, Yarra Junction, Victoria |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 14, Reinforcement 2 |
| AWM Embarkation Roll number | 13/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |